Application for Employment

Application for Employment
McHugh Pharmacy Group

634-B Pine Ridge Drive, W. Columbia, SC 29172
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
If under 18, please list age:
Position applied for and salary desired (Be specific): *
Are you legally entitled to work in the U.S.?*
Days available to work (Please check all that apply):*

No preferenceMondayTuesdayWednesdayThursdayFridaySaturday
When on the days selected are you available to work?*
How many hours can you work weekly?*
Employment desired:*
Do you have relatives who are current or former employees of the Company or any of its affiliates? If so, who?*
Have you ever been convicted of or plead guilty or "no contest" to a misdemeanor or felony? If yes, please explain and give details of each.*
Have you ever been a defendant in a civil suit on an intentional tort (assault, battery, false imprisonment, invasion of privacy, intentional infliction of emotional distress, wrongful death?) If so, please explain and give details of each. *
NOTE:

Answer "Yes" to any of the above questions does not constitute an automatic bar to employment.
Do you have any physical limitations which may prevent you from performing any of the functions of the job for which you are applying? If so, what can be done to accommodate the limitation?*
Do you have a driver's license?*
Do you have reliable transportation to work?*
Have you ever been in the armed forces?*
If you've been in the armed forces, please list your Specialty, Highest Rank Achieved, Type of Discharge, and Discharge Date.
Please list your work experience beginning with your most recent job held. If you were self-employed, give firm name. OR ATTACH RESUME BELOW.
Please upload your resume.

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Have you ever been terminated or asked to resign from any job? If yes, please explain the circumstances:*
Please explain any gaps in your employment history.*
May we contact your present employer?*
Did you complete this application yourself?*
If you did not complete this application yourself, who did?
Do you have any previous pharmacy experience? If yes, explain:*
Do you have previous retail experience? If yes, explain: *
Summarize any job-related training, skills, licenses, certificates, and/or other qualifications: *
AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.
I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.
I understand that neither the acceptance of this application not the subsequent entry into any type of employment relationship with McHugh Pharmacy Group creates an actual or implied contract of employment. I understand that, if I accept employment with McHugh Pharmacy Group, it will be on an at-will basis. This means that either McHugh Pharmacy Group or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
I agree to submit to drug and alcohol testing, if requested by McHugh Pharmacy Group. I release McHugh Pharmacy Group, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.
I authorize McHugh Pharmacy Group to investigate information concerning my education, employment experiences with previous employers and all other aspects of my background relevant to my proposed employment. I release McHugh Pharmacy Group and its employees from all liability arising from such investigation. I release my previous employers from any liability as a result of their disclosure of information about me to McHugh Pharmacy Group. I also authorize McHugh Pharmacy Group to provide truthful information concerning my employment with it to my future prospective employers, and I agree to hold it harmless for providing such information.
Should I become employed, as a condition of my employment, I agree to waive my right to a trial by jury in any action or proceeding involving any claim I feel I have, whether statutory or at common law related to or arising out of my employment or the termination of my employment, including claims of discrimination. I understand that I am waiving my right to a jury trial voluntarily and knowingly and free from duress or coercion. I understand that I have a right to consult with a person of my choosing, including an attorney, before signing this document.
DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THE ABOVE.
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Application for Employment

McHugh Pharmacy Group

NOTE:

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I agree to submit to drug and alcohol testing, if requested by McHugh Pharmacy Group. I release McHugh Pharmacy Group, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THE ABOVE.